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Black Hills Works INC

Day Training Developmentally Disabled Services·Rapid City, SD·NPI: 1992850952Share

Compared to Day Training Developmentally Disabled Services Peers

Total spending distribution among 22 providers in this specialty

P25MedianP75P90

This provider's total spending of $149.6M is at the 75th percentile among 22 Day Training Developmentally Disabled Services providers.

Active Billing Period:2018-012024-12(81 months)

Total Paid

$149.6M

$149,570,135

Total Claims

442K

Beneficiaries

117K

3.8 claims/patient

Avg Cost/Claim

$339

#719 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Black Hills Works INC is a Day Training Developmentally Disabled Services provider based in Rapid City, SD. From the 2018–2024 period, this provider received $149.6M in Medicaid payments across 442K claims.

Why This Matters

This provider received $149.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,696 Medicaid beneficiaries for a full year at average per-enrollee costs.

89% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.2M
+9%
2019
$18.7M
-32%
2020
$12.6M
+70%
2021
$21.5M
+2%
2022
$21.9M
+14%
2023
$25.1M
+30%
2024
$32.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 69% of total spending.

T2016Normal range

Habilitation, residential, waiver; per diem

$103.3M

164K claims · 69.1%

Your Cost: $631.54/claim|Median: $331.94
1.9× median
T2020Top 25%

Day habilitation, waiver; per diem

$23.3M

120K claims · 15.6%

Your Cost: $193.85/claim|Median: $87.34
2.2× median
S0281Top 5%

$9.7M

24K claims · 6.5%

Your Cost: $406.65/claim|Median: $92.97
4.4× median
T2025Normal range

Waiver services, NOS; per 15 min

$7.3M

59K claims · 4.9%

Your Cost: $124.39/claim|Median: $124.39
1.0× median
T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$2.1M

38K claims · 1.4%

Your Cost: $55.62/claim|Median: $88.91
0.6× median
T2018Top 25%

$1.9M

9K claims · 1.3%

Your Cost: $221.36/claim|Median: $117.28
1.9× median
T2028Normal range

Specialized supply, NOS; per unit

$931K

18K claims · 0.6%

Your Cost: $50.99/claim|Median: $79.30
0.6× median
T2014Top 10%

Habilitation, prevocational, waiver, per hour

$463K

1K claims · 0.3%

Your Cost: $382.82/claim|Median: $74.75
5.1× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$400K

5K claims · 0.3%

Your Cost: $79.08/claim|Median: $137.32
0.6× median
A0130Normal range

Non-emergency wheelchair van transport

$54K

2K claims · 0.0%

Your Cost: $27.78/claim|Median: $29.37
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$30K

968 claims · 0.0%

Your Cost: $31.38/claim|Median: $85.66
0.4× median
97530Normal range

Therapeutic activities, each 15 min

$15K

828 claims · 0.0%

Your Cost: $18.59/claim|Median: $33.11
0.6× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$6K

31 claims · 0.0%

Your Cost: $200.42/claim|Median: $141.34
1.4× median
T2035Normal range

$4K

49 claims · 0.0%

Your Cost: $75.43/claim|Median: $295.07
0.3× median
A0100Normal range

Non-emergency transportation; per trip

$2K

292 claims · 0.0%

Your Cost: $6.16/claim|Median: $24.72
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$1K

65 claims · 0.0%

Your Cost: $15.98/claim|Median: $63.65
0.3× median
97533Normal range

$419

29 claims · 0.0%

Your Cost: $14.45/claim|Median: $48.71
0.3× median